摘要
BACKGROUND: Controversy surrounds the treatment of traumatic central cord syndrome (TCCS), as there are strong advocates for nonsurgical treatment for most patients. However, conservative treatment has been shown to yield a longer period of discomfort from pain and weakness in certain cases. METHODS: In a retrospective review of 114 patients presenting with acute or chronic TCCS from 1988-94, four different age groups were separately observed under different treatments. Motor and sensory recovery were assessed. RESULTS: Better results were achieved in younger patients, with or without radiographic abnormalities, and in patients with clinically correlated encroaching cord lesions who received early surgical decompression. CONCLUSIONS: Surgical intervention for TCCS must be addressed with careful clinical and radiographic survey. Removal of offending lesions in the subacute period results in significant motor and sensory improvement in short-term and long-term follow-up.
原文 | 英語 |
---|---|
頁(從 - 到) | 435-441 |
頁數 | 7 |
期刊 | Surgical Neurology |
卷 | 48 |
發行號 | 5 |
DOIs | |
出版狀態 | 已發佈 - 11月 1997 |
對外發佈 | 是 |
ASJC Scopus subject areas
- 手術
- 神經病學(臨床)